| NPI | 1942747555 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MD LC7981) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC LGPC00202) |
| Enumeration Date | 2017-01-22 |
| Last Update Date | 2023-02-02 |